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festo of a liberal profession. Moreover, I fully sympathize with the desire expressed in the concluding ]3aragraph, for reasonable legislation with a view to diminish the needless temptations to drink that are offered to the poor ; and, had the declaration conhned itself to this topic, I could have found no ftiult with it ; but with the lirst and second paragraphs I entirely cheap elavil disagree. It is not that they make any statement MISCELLAinEOUS AND SCIENTIFIC N0TE3. 329 wliicli, ahstractedly taken, is alto.o;etlier incorrect ; but I enter- tain no donbt whatever that their general sense, as it will he read by the public, conveys elavil mg a false impression, and one which is calculated to do more elavil uses harm than good. " It is, in the first place, both a false and a mischievous idea that any considerable percentage of the drinking-habits of any class of English society springs from the improper pre- scription of alcohol by medical men. That such improper prescriptions may^ and occasionally do, cause drunken habits, I have not merely admitted, but elaborately proved on more than buy elavil online one occasion. But I protest now, as I have protested before, that, elavil 25 in nine-tenths of the cases in which doctors have been blamed as the occasion of the evil habit, the accusation has been the mere invention of a lying drunkard anxious for a scape-goat to bear a portion of his disgrace. But the first paragraph of the declaration will undoubtedly be read by the public as a distinct admission that the medical profession has had a relatively considerable share in the spread of intem- perance. I believe such a statement to be ridiculously false ; and I would further suggest that, elavil for anxiety were it true, the eminent physicians signing this document, among whom are included a large majority of the teachers who have educated the recent generations of medical practitioners, ought to cast dust upon their own heads for having reared their pupils in such scan- dalous and mischievous ignorance of their duties. " In regard to the second paragraph, I insist that it will convey to the public an entirely false impression as to the state of competent scientific opinion. It will undoubtedly be taken as a confirmation of the now obsolete doctrine of Lalle- mand, that alcohol is treated by the organism as a merely foreign stimulant, and is not decomposed therein. Now, I appeal fearlessly to Dr. Parkes (the only one of the signers of the declaration who has elavil 50mg done recent experimental work re- garding alcohol) to say whether his latest experiments have not strongly confirmed the refutation, by Schulinus, Dupre, and myself, of Lallemand's doctrines regarding elimination of unchanged elavil 10mg alcohol. In a letter which" Dr. Parkes was kind enough to send me some few months since, he confessed, with that candor and high-mindedness which have ever distin- fuished him, that such was the case. I therefore believe that )r. Parkes must have neglected to consider carefully the sense in which the declaration will inevitably be read by ignorant persons. "But, finall}- — and this is really the most important point of all — I most distinctly object to the kind of dictation by which the signature of this paper has been obtained. The secretary of the Temperance League puts pressure on the 330 MISCELLANEOUS AND SCIENTIFIC NOTES. editor of the British Medical Journal, and the latter gentle- man proceeds to put pressure (exceedingly difficult to resist) on a number of eminent professional men. To my own per- sonal knowledge this declaration has been signed by numbers of gentlemen who have scarcely given a elavil 10 mg thought to the prin- ciples which it aflSrms, and who have confessed to me that their only reason for signing was the fear of seeming elavil 25 mg to oppose so good a work as the mitigation of intemperance. This is a mere terrorism, and ought to be resisted. It is a repetition of the very useless and mischievous farce which was gone through some twelve years ago, when crowds of medical men, who in their own private opinions and practice were wholly opposed to teetotalism, were induced to sign a paper advocating views the only logical interpretation of whicli was elavil amitriptyline that alcohol was online elavil always and everywhere an unmitigated poison. The climax of that most indecorous exhibition was the discovery that several of the most eminent signers had also certified warmly and publicly to the great virtues of certain special wines and beers! I say that all that kind of insincere and skin -deep phi- lanthropy is degrading to the profession ; and, although I will cooperate with elavil 50 mg any one to get a reasonable licensing bill througli Parliament, I can liave no part in a elavil buy declaration which is in no sense the accurate and spontaneous expression of the medical opinion of this country." An English View of the Profession in America. — In the 3fed- ical Times and Gazette of January Gth we find the following liberal and appreciative remarks on the progress of medicine in this country : We take the opportunity of saying something on elavil 10 a subject which has long engaged our attention, and which recently has been rapidly assuming a greater and greater importance. It is at once our duty and our pleasure to watch the changes of medical doctrine and the improvements in practice, as they elavil for are gradually evolved at home and abroad, and nothing has struck us so much of late as the marvellous strides American medicine has elavil 50 made within a few short years. This was most forcibly brought home to us a little Mobile ago, when we were asked to recommend a book as the best on each of a certain number elavil used for of subjects. The list was not a long one, and yet about one-half of those we had it on om- conscience to recom- mend were American. I^ow, if this is not saying much elavil 25mg for ourselves, it is saying much for our American brethren.

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